Individual provider Active NPI

Jennifer Acosta Negron, PHL

  • Speech-Language Pathologist
  • Ponce, PR
National Provider Identifier
1730972092
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4612 Issued in PR
Practice address
1349 Calle Salud
Ponce, PR 00717-2017
Phone
(787) 840-7747
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4612 PR Primary

Addresses

Primary practice location

1349 Calle Salud
Ponce, PR 00717-2017

Mailing address

Calle Canaveral 12093
Urb Estancias del Mayoral
Villalba, PR 00766
Phone (787) 381-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4612PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Starbright Academy, LLC Speech-Language Pathologist CurrentSince Oct 5, 2025 Accepting new patients

Locations

1349 Calle Salud
Ponce, PR 00717
Phone (787) 228-0422

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1730972092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE CANAVERAL 12093",
            "address_2": "URB ESTANCIAS DEL MAYORAL",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-381-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 CALLE SALUD",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172017",
            "telephone_number": "787-840-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "JENNIFER",
        "middle_name": "ACOSTA",
        "name_prefix": "Mrs.",
        "credential": "PHL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.